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CITY OF EVERETT DATB�� <br /> ELECfRICAI. NIRING PEPMIT APPLICATION FEE 3�• O O <br /> �oe nnoxess I I 1 I 5 1`'i ��...�r S� �i c�e�1 <br /> TENANT <br /> PROPERTY OWNHR � 1 t _ <br /> ELECTAICAL CONTRACfOR I.L. CILf+C� '�.��C-� <br /> CONTPACfOR'S ADDRE55 I lao4 1�'w`5� N t-. I.,L ��I< v<,t5 �%515� <br /> CITY 2IP <br /> LICENSE N0. \CCL L Z�[ (IO CyC_ E%PSPATION �ATE �_ <br /> ADMINISTRATOR C� c r �Dr\ PHONENO. 3�L��J�� A'1 <br /> VALUE OF WORIC (do not include [axes) <br /> (for commerical wrk) <br /> USE OF BUILDING SG � R_F�,.c>fl�,�L l� <br /> NOTE: WAC 296-G6-140 zequires that plans for electrical wock at educational, <br /> institutional or health care facilities be approved by the State of washington. <br /> Appllcants with such jobs must show the State approved plans before a City <br /> of Evezett pecmit vill be issued. <br /> NOTE: Wiring in non dwellings is required to be in condui[. <br /> WORK TO BE OONE: <br /> LL��c� S.v.c\< �(�•...`�,_1 \cS��e\\C�_ <br /> �n7'� a��.'� +., .�.t�� ��cv�cC <br /> SIGNED: ��. `_\' ��� DATE: lI`Ci 1 SC� <br /> 3/27/90 <br />